1.What are the codes that replace the
V codes of DSM IV?
DSM 5 Trivia Pursuit(10
questions)
; EACH TEAM HAS RECORDER WHO WRITES DOWN ANSWERS 1-10 . DISCUSS
AND COME TO CONSENSUS . TEAM WITH MOST RIGHT ANSWER WINS. NO
BOOKS OR DEVICES PLEASE!
ICD 10 has F , G codes (Other
conditions that may be a focus of
clinical attention)
2. What are the physical symptoms listed
for Cannabis Withdrawal?(F12.288)
Converter URL available
Abdominal pain, shakiness/tremor,
sweating, fever, chills, or headache
Irritability,
nervousness, sleep
difficulty, decreased
appetite/weight loss, restlessness,
depressed mood (other criteria)
Three of the criteria develop within 1
week
3. Severity (specifier) for Anorexia Nervosa
is determined by
Answer: BMI
4.How do you write diagnosis when
alcohol induced psychosis is comorbid
with moderate alcohol use disorder
F10.259 Alcohol induced psychotic disorder
(2 means moderate/severe use disorder)
5. What are the severity specifiers for
substance use disorders
Mild, moderate, severe
6. How many signs or symptoms of
alcohol intoxication must be present
shortly after alcohol ingestion?
Mild: Use when 2 or 3 criteria are
present
Moderate: Use when 4 or 5 criteria are
met
Severe: Use when 6 or more criteria
are met.
7. What is the other requirement for
alcohol intoxication?
One
Slurred
speech
Incoordination
Unsteady
gait
Nystagmus
Impairment
Stupor
in attention or memory
or coma
Problematic behavior or
psychological change
8. Is Polysubstance Abuse or
Dependence a DSM 5 diagnosis?
No
9. When would you use “other
specified” as diagnosis?
List the disorders on by one
When criteria have not been met for
diagnosis and you list the reason e.g.
duration not known
10. What are the 2 types of gambling
disorder?
Episodic and Persistent
GAME 2
Episodic:
symptoms subside for at least
several months
Persistent: Continuous symptoms, meet
criteria for multiple years
Caffeine- Related Disorders and
Tobacco-Related Disorders
1.What is the ICD 10 code for Caffeine
Use Disorder?
2.How much caffeine is amount
ingested in caffeine intoxication
(F15.929)?
There isn’t one!!!
Only
intoxication, withdrawal and
other/unspecified caffeine use
disorder
Conclusion: Not addictive!
Excess of 250 mg / 2-3 cups of brewed
coffee
3. Name at least 3 symptoms of
caffeine intoxication and how many
must be present shortly after use?
5 must be present shortly after use
4. Caffeine withdrawal occurs within
how many hours of abrupt cessation
of caffeine?
Restlessness
Excitement
Nervousness
Insomnia
Flushed face
Diuresis
GI disturbance (diarrhea,
N/V, upset stomach)
Rambling flow of thought
& speech
Tachycardia or cardiac
arrhythmia
Periods of inexhaustibility
Psychomotor agitation
24 hours
3 of the following must be present
5. Name 3 symptoms of caffeine
withdrawal (F15.93)
6. What does the 9 in the codes for intoxication
(F15.929), withdrawal (F15.93)unspecified
(F93.99) mean?
Headache
Marked
fatigue or drowsiness
mood, depressed mood,
irritability
Difficulty concentrating
Flu like symptoms (N/V or muscle
pain/stiffness
Dysphoric
Not caffeine use disorder moderate or
severe
Is an exception to the other SUDs.
Other SUDs must have moderate or severe use
to have withdrawal.
Tobacco Related Disorders
7. What is the diagnosis if Randy is
using long term nicotine maintenance
medication?
Tobacco Use Disorder on
maintenance therapy
Moderate or severe tobacco use
disorder with tobacco induced sleep
disorder
8. What is Sally’s diagnosis if she has
insomnia caused by her excessive use
of tobacco?
9. Would this be ICD 10 coded as one
disorder or two?
One
Must have moderate or severe tobacco use disorder to
make a diagnosis of tobacco induced sleep disorder.
ICD 10 codes moderate or severe use disorder (2) in
the 4th digit or code
One Code indicates both disorders
When write it out it is moderate or severe tobacco use
disorder with tobacco induced sleep disorder.
10. What is specifier for TUD if patient is
living in a setting where smoking is
not permitted?
Answer: Tobacco Use Disorder, in a
Controlled Environment
11.Polysubstance Abuse or
dependence still a diagnosis?
No
List the disorders on by one